Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1235894817 Individual Practitioner Male Practitioner

Jack Scudder

Behavior Technician • Coon Rapids, MN

Professional Overview & Biography Verified Profile Summary

Jack Scudder is a registered healthcare professional specializing in Behavior Technician in Coon Rapids, MN. Practice services are available at 9120 SPRINGBROOK DR NW under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

9120 Springbrook Dr Nw

Coon Rapids, MN 554335845

Telephone 7632312590

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Technician in Coon Rapids, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 4.8 Yrs
Regional Practice Density
229 Specialists

Practicing in Coon Rapids, MN (16172 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-11-08
Behavior Technician Primary Specialty

NUCC Taxonomy Code: 106S00000X

The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Fatuma Mohamed

Behavior Technician

NPI 1003639584
Asanti Chinksso

Behavior Technician

NPI 1013848498
Heidi Knauber

Behavior Technician

NPI 1033873237
Julia Buffington

Behavior Technician

NPI 1053069583
Erikah Cooper

Behavior Technician

NPI 1053072058
Jack Mueller

Behavior Technician

NPI 1104689751

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active November 08, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location November 08, 2021

Registered at 9120 SPRINGBROOK DR NW, COON RAPIDS, MN 554335845 (Tel: 7632312590)

📍
Updated Business Mailing Address November 08, 2021

Registered at 8650 DAVENPORT ST NE, BLAINE, MN 554494234 (Tel: 6124321483)

👤
Provider Name / Credentials Updated November 08, 2021

Recorded as JACK SCUDDER

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 08, 2021

Behavior Technician

🟢
Initial NPI Registration & Enumeration November 08, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1235894817
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 08, 2021
Last Update: November 08, 2021
Sole Proprietor: No

Mailing Address

8650 Davenport St Ne

Blaine, MN 554494234

Phone: 6124321483

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.